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Logan Wakham

Pharmacist β€’ Gallipolis, OH

Active NPI 1750994026 Individual Practitioner Male Practitioner
Practice location in NPPES

100 Jackson Pike
Gallipolis, OH 456311560

Call 7404465937 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 456311560

Telephone 7404465937
Organization at the Same NPPES Address or Phone
Holzer Clinic, Llc Facility NPI 1508817248

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Huntington, WV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gallipolis and Ohio

40 active clinicians are listed under Pharmacist with a practice address in Gallipolis, OH (10,836 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gallipolis

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03444695

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

1538 Charleston Ave

Huntington, WV 25701

Phone: 3046967302

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Kameron Carter , NP

Nurse Practitioner - Gerontology

NPI 1225718935

Nurse Practitioner

NPI 1043059975

Doctor of Audiology

Dr. Annemarie Hansen , DO

Student in an Organized Health Care Education/Training Program

NPI 1174215669

Doctor of Osteopathic Medicine (D.O.)

NPI 1932723020

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 22, 2024

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465937)

πŸ“
Updated Business Mailing Address August 22, 2024

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465937)

βœ…
NPI Profile Active August 26, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2020

Registered at 1538 CHARLESTON AVE, HUNTINGTON, WV 25701 (Tel: 3046967302)

πŸ“
Business Mailing Address (Initial Record) August 26, 2020

Registered at 1663 6TH AVE APT 8, HUNTINGTON, WV 257031436 (Tel: 3049283379)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2020

Recorded as LOGAN WAKHAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 26, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750994026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2020
Last Update: August 22, 2024
Sole Proprietor: No

Other Pharmacists in Gallipolis

Healthcare providers in Gallipolis

Mailing Address

100 Jackson Pike

Gallipolis, OH 456311560

Phone: 7404465937

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.